Technical factors in the creation of a "floppy" Nissen fundoplication

Richard E. Davis, Ziad T. Awad, Charles Filipi

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

The original description of "floppy" Nissen fundoplication was that of an open procedure involving a large esophageal bougie, complete fundic mobilization, ligation of the short gastric vessels, and placement of a finger or a dilator under the completed fundoplication to assure laxity. A maneuver equivalent to the latter step during laparoscopic Nissen fundoplication has not been described. The consensus in the literature appears to be that the element of a fundoplication that defines it as floppy is complete mobilization of the fundus. We report an intraoperative maneuver that assures the fundoplication has adequate laxity. We also discuss several other maneuvers to assure proper formation of the fundoplication and to minimize side effects such as long-term dysphagia.

Original languageEnglish
Pages (from-to)724-727
Number of pages4
JournalAmerican Journal of Surgery
Volume187
Issue number6
DOIs
StatePublished - Jun 2004

Fingerprint

Fundoplication
Deglutition Disorders
Fingers
Ligation
Stomach

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Technical factors in the creation of a "floppy" Nissen fundoplication. / Davis, Richard E.; Awad, Ziad T.; Filipi, Charles.

In: American Journal of Surgery, Vol. 187, No. 6, 06.2004, p. 724-727.

Research output: Contribution to journalArticle

Davis, Richard E. ; Awad, Ziad T. ; Filipi, Charles. / Technical factors in the creation of a "floppy" Nissen fundoplication. In: American Journal of Surgery. 2004 ; Vol. 187, No. 6. pp. 724-727.
@article{5902512903a04b29afaa0a9e8a7f993f,
title = "Technical factors in the creation of a {"}floppy{"} Nissen fundoplication",
abstract = "The original description of {"}floppy{"} Nissen fundoplication was that of an open procedure involving a large esophageal bougie, complete fundic mobilization, ligation of the short gastric vessels, and placement of a finger or a dilator under the completed fundoplication to assure laxity. A maneuver equivalent to the latter step during laparoscopic Nissen fundoplication has not been described. The consensus in the literature appears to be that the element of a fundoplication that defines it as floppy is complete mobilization of the fundus. We report an intraoperative maneuver that assures the fundoplication has adequate laxity. We also discuss several other maneuvers to assure proper formation of the fundoplication and to minimize side effects such as long-term dysphagia.",
author = "Davis, {Richard E.} and Awad, {Ziad T.} and Charles Filipi",
year = "2004",
month = "6",
doi = "10.1016/j.amjsurg.2003.10.014",
language = "English",
volume = "187",
pages = "724--727",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Technical factors in the creation of a "floppy" Nissen fundoplication

AU - Davis, Richard E.

AU - Awad, Ziad T.

AU - Filipi, Charles

PY - 2004/6

Y1 - 2004/6

N2 - The original description of "floppy" Nissen fundoplication was that of an open procedure involving a large esophageal bougie, complete fundic mobilization, ligation of the short gastric vessels, and placement of a finger or a dilator under the completed fundoplication to assure laxity. A maneuver equivalent to the latter step during laparoscopic Nissen fundoplication has not been described. The consensus in the literature appears to be that the element of a fundoplication that defines it as floppy is complete mobilization of the fundus. We report an intraoperative maneuver that assures the fundoplication has adequate laxity. We also discuss several other maneuvers to assure proper formation of the fundoplication and to minimize side effects such as long-term dysphagia.

AB - The original description of "floppy" Nissen fundoplication was that of an open procedure involving a large esophageal bougie, complete fundic mobilization, ligation of the short gastric vessels, and placement of a finger or a dilator under the completed fundoplication to assure laxity. A maneuver equivalent to the latter step during laparoscopic Nissen fundoplication has not been described. The consensus in the literature appears to be that the element of a fundoplication that defines it as floppy is complete mobilization of the fundus. We report an intraoperative maneuver that assures the fundoplication has adequate laxity. We also discuss several other maneuvers to assure proper formation of the fundoplication and to minimize side effects such as long-term dysphagia.

UR - http://www.scopus.com/inward/record.url?scp=2942548108&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2942548108&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2003.10.014

DO - 10.1016/j.amjsurg.2003.10.014

M3 - Article

VL - 187

SP - 724

EP - 727

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 6

ER -